Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $678.24 / $4,852.00 / $7,391.00	Facility		$678.24	$4,852.00	$7,391.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $497.92 / $678.24 / $1,046.25	Professional		$497.92	$678.24	$1,046.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $579.71 / $1,949.16 / $3,851.83	Facility		$579.71	$1,949.16	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $545.42 / $749.55 / $1,395.02	Professional		$545.42	$749.55	$1,395.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $962.76 / $1,169.22 / $74,999.25	Facility		$962.76	$1,169.22	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.74 / $5,008.00 / $9,852.00	Facility		$174.74	$5,008.00	$9,852.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.16 / $794.71 / $1,439.63	Professional		$528.16	$794.71	$1,439.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $637.54 / $847.00 / $4,491.18	Professional		$637.54	$847.00	$4,491.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $753.02 / $883.31 / $1,034.33	Professional		$753.02	$883.31	$1,034.33
United Facility/Professional Facility Modifier Low / Median / High Price $107.00 / $1,550.00 / $2,665.00	Facility		$107.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $564.44 / $736.22 / $1,320.82	Professional		$564.44	$736.22	$1,320.82